Etiological Spectrum of Non-Traumatic Myelopathies in Adults Using MRI at a Tertiary Care Hospital in Jharkhand
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 12
Abstract
Aims & Objectives: 1] To estimate the prevalence of Non-traumatic Myelopathy. 2] To estimate the percentages of various causes of non traumatic myelopathies. 3] To compare the various causes between different age groups, males and females. Materials & Methods: 50 Patients with a clinical diagnosis of non-traumatic Myelopathy referred to the Department of Radiology, RIMS, Ranchi during the study period from August 2017 to October 2018 were studied after obtaining consent. Age and sex of the patient were noted. Detailed history and neurological examination was obtained from all the patients. MRI of spine of all patients and MRI of brain of selected patients were carried out. Based on MRI findings alone causes of non-traumatic Myelopathies were categorized. Results: Among 50 cases of Non-Traumatic Myelopathies, 29 cases (58%) were presented with Paraparesis and 21 cases (42%) were presented with Quadriparasesis. 27(54%) cases were grouped into cord compressive and 20 (40%) were grouped into Non compressive group, while in 3(6%) case no etiology could be found on MRI. Tuberculosis was the major cause in compressive group while Acute Transverse Myelitis was the major cause in Non compressive group. Conclusion: Quadriplegia and paraplegia are conditions with considerable morbidity and regarded as a disease of constant misery to the patient, family and the society. It is difficult to conclude the diagnosis in spinal cord pathologies on clinical basis alone where imaging particularly MRI plays a major role in diagnosing and classifying the various causes of Non traumatic Myelopathies.
Authors and Affiliations
Dr Pughaz Deivigan
Keywords
Related Articles
- EP ID EP505326
- DOI -
- Views 91
- Downloads 0
A Cross Sectional Study of Clinical Profile and Cardiac Manifstations in Patients with Primary and Secondary Dengue Fever in A Tertiary Care Hospital
Background: Dengue fever is one the most common mosquito borne viral disease. Cardiac system involvement is one of the atypical manifestations in dengue fever. So this study was conducted to find out cardiac involvement...
Atypical Mooren’s Ulcer: Our experience
Objective: To highlight variable clinical presentation and management of 4 cases of atypical Mooren’s ulcer. Design: Retrospective case series. Methods: Patients presenting with bilateral peripheral ulcerative lesions we...
Prevalence of Drug Utilization Patterns on Hypertensive Patients in Tertiary Care Hospital
Introduction: A Prospective Study on Prescribing Pattern and Utilization of Anti-Hypertensive Drugs in A Tertiary Care Teaching Hospital Method: The Prospective observational study was conducted in Department of pharmaco...
A Comparative Study of Biliary and Serum Lipid Profiles in Patients of Obstructive jaundice due to stones in common bile duct
The prevalence of cholesterol gallstones and common bile duct (CBD) stones in India is very high depending on dietary patterns and ethnic background. It is now widely accepted that the primary event in the pathogenesis o...
Alfuzosin versus Tamsulozin in the Treatment of Patients with Distal Ureteral Calculus - Prospective, Randomised, Comparative Study
Introduction: Ureteral calculus 4mm or smaller will usually pass spontaneously. Conservative medical treatment to be applied first. The simple waiting approach may result in complication. So, the simple watchful waiting...